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Awareness during total intravenous anaesthesia using etomidate. A case report
Summary
A patient experienced intraoperative awareness despite total intravenous anesthesia with droperidol, fentanyl, and etomidate. This case highlights potential causes for anesthetic awareness during major surgery.
Area of Science:
- Anesthesiology
- Surgical Patient Monitoring
Background:
- Total intravenous anesthesia (TIVA) aims for unconsciousness during surgery.
- Droperidol, fentanyl, and etomidate are commonly used anesthetic agents.
Observation:
- A 29-year-old patient underwent laparotomy for colonic resection.
- Anesthesia was induced and maintained intravenously using droperidol, fentanyl, and an etomidate infusion.
Findings:
- The patient reported awareness after the surgical procedure.
- Potential causes for intraoperative awareness are explored in this case study.
Implications:
- This case underscores the importance of vigilant anesthetic monitoring.
- Further investigation into anesthetic depth monitoring may be warranted to prevent awareness.